Individual provider Active NPI

Jeff Biele, LCPC

  • Mental Health Counselor
  • Cambridge, MD
National Provider Identifier
1821450768
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC8069 Issued in MD
Practice address
300 Byrn St
Cambridge, MD 21613-1908
Phone
(410) 228-5511
Fax
(410) 901-2764
NPI assigned
Mar 21, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC8069 MD Primary

Addresses

Primary practice location

300 Byrn St
Cambridge, MD 21613-1908

Mailing address

426 Dorchester Ave
Cambridge, MD 21613-2446
Phone (443) 944-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123003353 MD Practitioner - Mental Health Counselor 9830541051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Counseling Christian Ministry, LLCGroup PAC ID 1456615079, 11 clinicians

Practice addresses (Care Compare)

314 Franklin Ave
Suite 403
Berlin, MD 21811-1263
Phone (410) 973-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC8069MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling Christian Ministry, LLC CurrentSince Jan 1, 2024 Accepting new patients
Marissa Block LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

314 Franklin Ave
Ste 403
Berlin, MD 21811
Phone (410) 629-1995

200 E Joppa Rd
Ste 400
Towson, MD 21286
Phone (443) 300-6905

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821450768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 DORCHESTER AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132446",
            "telephone_number": "443-944-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BYRN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131908",
            "telephone_number": "410-228-5511",
            "fax_number": "410-901-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELE",
        "first_name": "JEFF",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC8069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.